Organization · Type 2 NPI
Premier 1 Healthcare LLC
Addiction Medicine (Family Medicine) Physician · Big Stone Gap, VA
NPI number
1225548860
Active
Practice location
928 E 5th St N
Big Stone Gap, VA 24219-2435
Fax (276) 524-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1225548860
Premier 1 Healthcare LLC's National Provider Identifier is 1225548860, issued on Oct 10, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Big Stone Gap, VA. The record was last updated on Oct 10, 2017.